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Intussusception in black children
Insights
This study reviewed 76 Black patients with intussusception, finding that older children often present with
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Public Health
Background:
- Intussusception is a common surgical emergency in infants.
- Presentation and etiology of intussusception can vary significantly by age and geographic region.
- Previous studies have focused on infant intussusception, with limited data on Black populations or older children.
Purpose of the Study:
- To analyze the clinical presentation, etiology, and management of intussusception in Black patients.
- To compare intussusception patterns in infants versus older children within this population.
- To evaluate the effectiveness of hydrostatic reduction in this cohort.
Main Methods:
- Retrospective review of 76 Black patients diagnosed with intussusception.
- Analysis of patient demographics, clinical symptoms, lesion location, and treatment outcomes.
- Comparison of findings between infants and children over 2 years of age.
Main Results:
- Infants (59%) showed classic intussusception features, predominantly ileocolic lesions (80%), with a 36% resection rate due to delayed presentation.
- Children over 2 years (41%) exhibited 'tropical' intussusception patterns, with colocolic lesions (55%) and rare leading points.
- Hydrostatic reduction was ineffective in all attempted cases.
Conclusions:
- Black infants and older children present with distinct intussusception patterns, influenced by age and potentially geographic factors.
- Delayed presentation in infants contributes to higher resection rates.
- Effective management strategies for intussusception in Black patients require tailored approaches, as hydrostatic reduction showed limited success.
Abstract:
Seventy-six black patients with intussusception are reviewed. Infants (59%) presented with features similar to classic intussusception; ileocolic lesions were most common (80%) and a high resection rate (36%) was the sequel to delay in presentation. Children over 2 years of age (41%) presented with a pattern of 'tropical' intussusception in which primary colocolic lesions predominated (55%) and leading points were rare (3,5%). A high percentage of older children appears to characterize series from tropical areas. The relative proportions of these groups may vary between, and within, geographical regions and differing causes are likely. However, the management of both groups is similar. Hydrostatic reduction was not effective in those patients in whom it was attempted.